Individual
KRISTEN NICOLE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1000 BRECKENRIDGE ST STE 301, OWENSBORO, KY 42303-0877
(502) 588-3650
(502) 588-7852
Mailing address
PO BOX 776879, CHICAGO, IL 60677-5879
(502) 272-5817
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3008929
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300019945
—
IN
01
—
3008929
STATE LICENSE
KY
05
—
7100372210
—
KY
Enumeration date
09/15/2014
Last updated
05/27/2022
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